Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
44. A client, who is gravida 4, para 0 at 39 weeks' gestation, states, "I would like to breastfeed, but my mother-in-law told me my breasts are too small and I won't have enough milk for my baby." Which would be the best response by the nurse?
. "Your breasts might be small, but if you don't produce enough milk, you can always give the baby some formula."
. "You will produce more milk if you use a breast pump and then give it to your baby in a bottle."
. "Milk production is increased by the hormone estrogen. You can ask your doctor for a prescription to take."
. "The size of the breasts doesn't matter. All women have about the same amount of milk-producing tissue."
Test-Taking Tip
Milk production is directly related to the amount of time the infant is nursing. Any other option will lead to decreased milk production.
Content Area: Maternity, Antepartum; Integrated Process: Communication and Documentation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because the volume of breast milk produced is related to how often the breasts are emptied of milk. Formula supplementation decreases breast milk production since the infant nurses less often. Answer 2 is incorrect because an infant is more efficient at emptying a breast than a breast pump. In addition, oral stimulation of the nipples by the infant stimulates the release of oxytocin, which triggers the let-down reflex. Answer 3 is incorrect because estrogen does not stimulate milk production. Oxytocin and prolactin are the hormones responsible for breast milk production. Answer 4 is correct because the amount of milk-producing glandular tissue in all women is approximately the same. The size of large breasts is due to increased fatty tissue.